What 25 hospitals in Colorado charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Hospitals in Colorado billed an average of $192,296 for level 3 electrophysiologic procedures, about 8.5 times the average medicare-allowed amount of $22,544. That payment is about the same as the U.S. average of $22,751.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
About 12¢ was paid for every $1 hospitals in Colorado billed for this service.
Every Colorado hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Medical Center of the RockiesLoveland | 258 | $140,478 | $21,975 | $20,341 |
| University of Colorado Hospital Anschutz InpatientAurora | 227 | $222,485 | $22,458 | $20,821 |
| Centura Health-Porter Adventist HospitalDenver | 226 | $172,756 | $22,365 | $20,731 |
| Memorial Hospital CentralColorado Springs | 201 | $211,841 | $22,494 | $20,864 |
| St Mary's Hospital and Medical CenterGrand Junction | 139 | $159,512 | $24,149 | $22,512 |
| Poudre Valley HospitalFort Collins | 130 | $132,794 | $22,550 | $20,915 |
| Medical Center of Aurora, theAurora | 127 | $190,786 | $22,550 | $20,917 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 122 | $134,652 | $22,378 | $20,746 |
| Boulder Community HospitalBoulder | 116 | $353,955 | $22,189 | $20,555 |
| Exempla Saint Joseph HospitalDenver | 92 | $246,311 | $22,338 | $20,702 |
| Centura Health-St Anthony Central HospitalDenver | 78 | $131,162 | $22,550 | $20,912 |
| Exempla Lutheran Medical CenterWheat Ridge | 57 | $243,787 | $22,550 | $20,918 |
| Parkview Medical Center INCPueblo | 54 | $153,710 | $22,162 | $20,530 |
| Valley View Hospital AssociationGlenwood Springs | 53 | $122,206 | $24,149 | $22,506 |
| North Colorado Medical CenterGreeley | 45 | $116,947 | $22,638 | $21,006 |
| Rose Medical CenterDenver | 44 | $520,747 | $22,550 | $20,916 |
| Exempla Good Samaritan Medical Center LLCLafayette | 38 | $259,394 | $22,550 | $20,918 |
| Vail Valley Medical CenterVail | 28 | $70,758 | $24,149 | $22,513 |
| Banner Fort Collins Medical CenterFort Collins | 22 | $141,374 | $21,599 | $19,965 |
| Swedish Medical CenterEnglewood | 18 | $306,725 | $21,388 | $19,743 |
| Centura Health-St Anthony North HospitalWestminster | 13 | $137,198 | $22,550 | $20,918 |
| Platte Valley Medical CenterBrighton | – | – | – | – |
| Denver Health Medical CenterDenver | – | – | – | – |
| Presbyterian/St Luke's Medical CenterDenver | – | – | – | – |
| HCA Healthone Mountain RidgeThornton | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Swedish Medical CenterEnglewood, CO | $21,388 |
|---|---|
| Banner Fort Collins Medical CenterFort Collins, CO | $21,599 |
| Medical Center of the RockiesLoveland, CO | $21,975 |
| Parkview Medical Center INCPueblo, CO | $22,162 |
| Boulder Community HospitalBoulder, CO | $22,189 |
| Valley View Hospital AssociationGlenwood Springs, CO | $24,149 |
|---|---|
| St Mary's Hospital and Medical CenterGrand Junction, CO | $24,149 |
| Vail Valley Medical CenterVail, CO | $24,149 |
| North Colorado Medical CenterGreeley, CO | $22,638 |
| Centura Health-St Anthony Central HospitalDenver, CO | $22,550 |
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 25 hospitals in Colorado was billed at $192,296 on average, while the average medicare-allowed amount was $22,544, of which Medicare paid $20,910. Your own cost depends on your insurance, deductible and the hospital.
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Colorado, average charges were 8.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.